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Objects / Healthcare Organization

Healthcare Organization Stored source record

RODNEY R. HESCHONG, RPT, INC.

619 E BLITHEDALE AVE, SUITE B, MILL VALLEY, CA, 949411468

atlas:atm_npi_1063520724

Block 1003Block Group 1Census Tract 1261Marin CountyCaliforniaUnited States

What is stored

phone
415-388-5223
status
A
address
619 E BLITHEDALE AVE, SUITE B, MILL VALLEY, CA, 949411468
fax
415-388-5270
npi
1063520724
license
00PT84220
taxonomy
Physical Therapist, Orthopedic
other names
["MILL VALLEY PHYSICAL THERAPY AND SPORTS REHABILIATION"]
last updated
2020-08-22
license state
CA
taxonomy code
2251X0800X
all taxonomies
["Physical Therapist, Orthopedic"]
enumeration date
2006-08-25
enumeration type
NPI-2
practice locations
0
authorized official
RODNEY HESCHONG
organizational subpart
NO

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{
  "fax": "415-388-5270",
  "npi": "1063520724",
  "phone": "415-388-5223",
  "status": "A",
  "address": "619 E BLITHEDALE AVE, SUITE B, MILL VALLEY, CA, 949411468",
  "license": "00PT84220",
  "taxonomy": "Physical Therapist, Orthopedic",
  "other_names": [
    "MILL VALLEY PHYSICAL THERAPY AND SPORTS REHABILIATION"
  ],
  "last_updated": "2020-08-22",
  "license_state": "CA",
  "taxonomy_code": "2251X0800X",
  "all_taxonomies": [
    "Physical Therapist, Orthopedic"
  ],
  "enumeration_date": "2006-08-25",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "RODNEY HESCHONG",
  "organizational_subpart": "NO"
}